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NPI Code Detail

MEDICARE: ESTHER KIM PHARM.D

MEDICARE: ESTHER KIM PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist69764CA

General Provider Information

NPI Number : 1679997365
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER KIM PHARM.D
Provider Business Mailing Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number :
Provider Business Practice Location Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 01/26/2023

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Directions to “ ESTHER KIM PHARM.D” Practice Location

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